Yıl: 2010 Cilt: 56 Sayı: 2 Sayfa Aralığı: 67 - 70 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury

Öz:
Amaç: Elli ml/dk hızda yapılan orta hızlı sürekli dolum sistometrisi dolum süresinin kısalığı ve yayınlanmış referans değerlerinin oluşu gibi avantajları nedeniyle yaygın olarak kullanılan bir metotdur. Bununla birlikte bu tip dolum bazen detrüsör kontraksiyonlarını provoke edebilir ve mesane kapasitesini saptamada hatalara neden olabilir. Bu çalışmanın amacı aşırı aktif detrüsöre sahip omurilik yaralanmalı (OY) hastalarda sürekli ve aralıklı dolumla yapılan sistometrik ölçümlerin karşılaştırılmasıdır. Gereç ve Yöntem: Çalışmaya aşırı aktif detrüsöre sahip OY’li 20 hasta dahil edildi. Mesanedeki tüm idrar boşaltıldıktan sonra, mesane ilk önce oda sıcaklığındaki steril serum fizyolojik ile 50 ml/dk hızla sürekli olarak dolduruldu ve mesane kapasitesi belirlendi. Sürekli dolum sistometrisinden sonra mesane tekrar boşaltıldı ve 50 ml/dk dolum hızıyla 30 saniyelik dolum periyodlarını izleyen 15 saniyelik duraklamalarla aralıklı olarak dolduruldu. Sürekli ve aralıklı dolum sırasında saptanan kapasiteler Wilcoxon işaretli sıra testi ile karşılaştırıldı. Bulgular: Maksimum sistometrik kapasite ortalama değerleri sürekli ve aralıklı dolumda sırasıyla 86,5±43,7 ml ve 122,7±62,2 ml idi (p<0,001). Aralıklı dolumla saptanan ortalama artış 36,2±38,1 ml idi ve bu ortalama %41,84’lük bir artışa tekabül ediyordu. Sonuç: Bu çalışmada aşırı aktif detrüsörlü OY’li hastalarda aralıklı dolum ile daha yüksek sistometrik kapasiteler gözlendi. Bu yöntem aşırı aktif detrüsörlü hastalarda mesane kapasitesinin daha doğru belirlenmesine ve uygun tedavi kararlarının verilmesine yardımcı olabilir.
Anahtar Kelime:

Konular: Rehabilitasyon

Spinal kord yaralanmalı hastalarda sürekli ve aralıklı dolum sistometrisinin karşılaştırılması

Öz:
Objective: Continuous medium filling cystometry at a rate of 50 ml/min is a widely used method due to its advantages such as short filling time and published reference values. However, this type of filling sometimes provokes detrusor contractions and may cause incorrect bladder capacity determinations. The aim of this study was to compare the continuous and intermittent filling during cystometry in patients with spinal cord injury (SCI) who had detrusor overactivity. Materials and Methods: Twenty patients with SCI who had detrusor overactivity were included in the study. After the drainage of all urine, first, the bladder was filled continuously at a filling rate of 50 ml/min with sterile physiological saline at room temperature and the maximum cystometric capacity was determined. After the continuous filling cystometry, the bladder was emptied again and filled intermittently by 30 seconds filling followed by 15 seconds pause periods at filling rate of 50 ml/min. The maximum cystometric capacities observed during continuous and intermittent filling were compared by the Wilcoxon signed rank test. Results: The mean maximum cystometric capacities were 86.5±43.7 ml and 122.7±62.2 ml, respectively in continuous and intermittent filling (p<0.001). The mean increase in intermittent filling was 36.2±38.1 ml, which represented a 41.84% mean increase. Conclusion: In this study, higher cystometric capacities were observed in SCI patients with overactive detrusors by intermittent filling. This method may serve determination of bladder capacity more correctly and may contribute to make appropriate therapeutic decisions in patients with detrusor overactivity.
Anahtar Kelime:

Konular: Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KAYA K, Ersoz M, Koyuncu E, OZEL S, AKYÜZ M, ÖZGİRGİN N (2010). Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. , 67 - 70.
Chicago KAYA Kurtuluş,Ersoz Murat,Koyuncu Engin,OZEL SUMRU,AKYÜZ Müfit,ÖZGİRGİN Neşe Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. (2010): 67 - 70.
MLA KAYA Kurtuluş,Ersoz Murat,Koyuncu Engin,OZEL SUMRU,AKYÜZ Müfit,ÖZGİRGİN Neşe Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. , 2010, ss.67 - 70.
AMA KAYA K,Ersoz M,Koyuncu E,OZEL S,AKYÜZ M,ÖZGİRGİN N Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. . 2010; 67 - 70.
Vancouver KAYA K,Ersoz M,Koyuncu E,OZEL S,AKYÜZ M,ÖZGİRGİN N Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. . 2010; 67 - 70.
IEEE KAYA K,Ersoz M,Koyuncu E,OZEL S,AKYÜZ M,ÖZGİRGİN N "Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury." , ss.67 - 70, 2010.
ISNAD KAYA, Kurtuluş vd. "Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury". (2010), 67-70.
APA KAYA K, Ersoz M, Koyuncu E, OZEL S, AKYÜZ M, ÖZGİRGİN N (2010). Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 56(2), 67 - 70.
Chicago KAYA Kurtuluş,Ersoz Murat,Koyuncu Engin,OZEL SUMRU,AKYÜZ Müfit,ÖZGİRGİN Neşe Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 56, no.2 (2010): 67 - 70.
MLA KAYA Kurtuluş,Ersoz Murat,Koyuncu Engin,OZEL SUMRU,AKYÜZ Müfit,ÖZGİRGİN Neşe Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.56, no.2, 2010, ss.67 - 70.
AMA KAYA K,Ersoz M,Koyuncu E,OZEL S,AKYÜZ M,ÖZGİRGİN N Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2010; 56(2): 67 - 70.
Vancouver KAYA K,Ersoz M,Koyuncu E,OZEL S,AKYÜZ M,ÖZGİRGİN N Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2010; 56(2): 67 - 70.
IEEE KAYA K,Ersoz M,Koyuncu E,OZEL S,AKYÜZ M,ÖZGİRGİN N "Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 56, ss.67 - 70, 2010.
ISNAD KAYA, Kurtuluş vd. "Comparison of continuous and intermittent filling cystometry in patients with spinal cord injury". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 56/2 (2010), 67-70.